M6740017T0067.pdf

SEE ADDENDUM

(No Collect Calls)

M6740017T0067 26-Apr-2017

b. TELEPHONE NUMBER

011-81-98-970-3132

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 05 Jun 2017

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

M674009. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

KOICHI YOKOGAWA

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

1 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SEE SCHEDULE

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

MARINE CORPS REGIONAL CONTRACTING OFFICE

MARINE CORPS BASE

CAMP S.D. BUTLER

PSC 557 BOX 2000

FPO AP CA 96379-2000

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE M02209 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG 170

IWAKUNI AP 96310

TEL: FAX:

FAX:

TEL: 011816117458531 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,000

NAICS:

335228

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

M6740017T0067

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

WASHING MACHINE

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

3) Shall be delivered within 90 days after the date of the contract to the final destination.

Minimum Salient Characteristics:

(1) Cord Length: (Approximate) 6 feet,

(2) Power cord included: YES

(3) Voltage: 110/120

(4) Minimum Circuit: Rating: 15 amps

(5) Size: (Approximate) 44 inch High x 28 inch Wide x 30 inch Depth

(6) Washer Interior Size Capacity: (Approximate) 4.8 cu feet / 13 lbs minimum

(7) Color: Metallic

(8) Manufacturer’s Standard Warranty: 1 year parts and labor

(9) Quiet Package, Adjustable legs

(10) Drain Hose included: YES

(11) Wash Basket Material: Stainless steel

(12) Wash Agitator: (Motion); Wash Plate (No Center Agitator)

(13) Maximum Spin Speed (rpm): 1000+

(14) Number of Water Temperature: 5

(15) Dispensers: Detergent, Bleach Dispenser, Fabric Softener Dispenser

(16) Wash Cycles: Heavy Duty Wash Cycle, Delicate Wash Cycle, Normal Wash Cycle, Speed Wash Cycle, Bedding cycle

(17) Cycle Status Light: YES

(18) End Cycle: YES

(19) Spin Speed Option: Extra High, Medium, Low No spin

(20) Energy Star Compliant: YES

(21) High Efficiency Rated (HE): YES

[Brand Name or Equal] MANUFACTURER: Whirlpool

PART NUMBER: WTW7000DW

MILSTRIP: M022097017FH01

PURCHASE REQUEST NUMBER: M0220917RC00845

NET AMT

0001AA 264 Each

WASHING MACHINE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0001AB 50 Each

WASHING MACHINE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

MILSTRIP: M022097018FH01

PURCHASE REQUEST NUMBER: M0220917RC00881

0001AC 170 Each

WASHING MACHINE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

MILSTRIP: M022097069FH01

PURCHASE REQUEST NUMBER: M0220917RC01480

DRYER

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) Cord length: (Approximate) 6 feet

(2) Power cord included: YES

(3) Dryer Power Supply Source: 220V/240V electric

(4) Minimum Circuit Rating: 30amps

(5) Size: (Approximate) 28 inches max Wide x 30 inches max Depth, 44 inches max height

(6) Adjustable Legs: YES

(7) Quiet Package: YES

(8) Color: Metallic

(9) Venting (Facing Dryer): Back

(10) Dryer Door Access: Reversible

(11) Number of Dryness Level: 5

(12) Sensor Dry: YES

(13) Temperatures Control: 5

(14) Manufacturer’s Standard Warranty: 1 Year limited

(15) Drum Material: Aluminized steel

(16) Dry cycles: Permanent Press Dry Cycle

(17) Speed/Quick Dry Cycle, Normal Dry Cycle, Heavy Duty Dry Cycle

(18) End-of -Cycle Signal: YES

(19) Timed Dry Option: YES

(20) Wrinkle Reduction: YES, include 4 feet flex duct for dryer vent

(21) Energy Star Compliant: YES

PART NUMBER: WED87HEDW

0002AA 264 Each

DRYER

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0002AB 50 Each

DRYER

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0002AC 170 Each

DRYER

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

DISHWASHER

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) (Approximate) 24 inches Built-In Dishwasher

(2) 4 Cycles, Three Level Wash, Electromechanical Controls

(3) Quiet Wash Sound Package

(4) In-Rack Silverware Basket

(5) Size: (Approximate) 34-3/8 inches High x 23-7/8 inches Wide x 24-7/8 inches Depth

(6) Color: Metallic

(7) Energy Star Compliant: YES

(8) Manufacturer’s Standard Warranty

MANUFACTURER: General Electric (GE)

PART NUMBER: GDF570SSJSS

0003AA 264 Each

DISHWASHER

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0003AB 50 Each

DISHWASHER

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0003AC 170 Each

DISHWASHER

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

ELECTRIC RANGE

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) (Approximate) 30 inches Freestanding Electric Range

(2) Self-Clean Oven

(3) (Approximate) 4.8 Cu Ft Oven Capacity

(4) Upswept Porcelain Spill Guard (Front and side raised-edge design to contain spillage)

(5) 180 Electronic Controls with Control Lockout

(6) Clock and Timer Easy View Extra Large Oven Window

(7) Two Adjustable Oven Racks

(8) Full-Width Storage Drawer

(9) Chrome Drip Bowls White

(10) Size: (Approximate) 46-7/8 inches High x 29-7/8 inches Wide x 27 9/16 inches Depth

(11) Color: Metallic

(12) Manufacturer’s Standard Warranty

PART NUMBER: WFC31050AB

0004AA 264 Each

ELECTRIC RANGE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0004AB 50 Each

ELECTRIC RANGE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0004AC 170 Each

ELECTRIC RANGE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

REFRIGERATOR

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) (Approximate) 20.5 cubic feet

(2) Top Freezer Refrigerator

(3) Spill Safe

(4) Adjustable Glass Shelves

(5) Top-Freezer Refrigerator with 2 Full-Width Spill Safe Glass Shelves

(6) 1 Half-Width Deli Drawer

(7) 2 Humidity-Controlled Crisper Drawers

(8) 1 Gallon Door Storage and Optional Icemaker

(9) Dimensions: (Approximate) 30 inches Width, 31 ¾ inches Depth with Door, 60 inches Depth with Door Open 90

(10) Color: Stainless Steel

(11) Energy Star Compliant: YES

(12) Manufacturer’s Standard Warranty

MANUFACTURER: FRIGIDAIRE

PART NUMBER: FFHT2131QS

0005AA 264 Each

REFRIGERATOR

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0005AB 50 Each

REFRIGERATOR

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0005AC 170 Each

REFRIGERATOR

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

UNIVERSAL DISHWASHER KIT

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) (Approximate) 6' Red Poly Water Connector

(2) (Approximate) 6' Power Cord

(3) Elbow 3/8C x 3/8MP, 3/4GH, 3/8C Connector

(4) Single Clamp

MANUFACTURER: General Electric (GE)

PART NUMBER: PM28X326DS

0006AA 264 Set

UNIVERSAL DISHWASHER KIT

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0006AB 50 Set

UNIVERSAL DISHWASHER KIT

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0006AC 170 Set

UNIVERSAL DISHWASHER KIT

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

WASHING MACHINE HOSE

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) 5' Black PVC

(2) Package of 2

(3) Will not Dry Rot

(4) 700 PSI

(5) Female Garden Hose to Female Hose Threads

PART NUMBER: 8212641RP

0007AA 264 Each

WASHING MACHINE HOSE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0007AB 50 Each

WASHING MACHINE HOSE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0007AC 170 Each

WASHING MACHINE HOSE

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

POWER SUPPLY CORD

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) For use with Dryer

(2) (Approximate) 5' 10/4, 30 Amp, 125/250A

(3) 4 – Conductor

(4) Four #10 Wires

MANUFACTURER: Everdevelop Electric Appliance Co. Ltd

PART NUMBER: 06-PT10040

0008AA 264 Each

POWER SUPPLY CORD

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0008AB 50 Each

POWER SUPPLY CORD

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0008AC 170 Each

POWER SUPPLY CORD

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

MULTI-PLY FLEXIBLE DUCT

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(2) Aluminum Flexible Duct Multi-Ply Dryer

(3) (Approximate) 4" Diameter

PART NUMBER: PT600L

0009AA 264 Each

MULTI-PLY FLEXIBLE DUCT

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0009AB 50 Each

MULTI-PLY FLEXIBLE DUCT

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0009AC 170 Each

MULTI-PLY FLEXIBLE DUCT

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

METAL WORM CLAMP

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(2) (Approximate) 4" Diameter

MANUFACTURER: Deflecto

PART NUMBER: DMC450

0010AA 264 Each

METAL WORM CLAMP

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0010AB 50 Each

METAL WORM CLAMP

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0010AC 200 Each

METAL WORM CLAMP

FFP

Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0011 6 Each

DRYER

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) DRYER (Approximate) 7.4cu.ft. Electric Dryer with Quick Dry Cycle

(2) Protect clothes while still saving time and energy with (approximate) 7.4cu.ft.

electric dryer

(3) Tap touch controls with memory are able to remember last cycle and settings to make it easy to start next load in the dryer quickly

(4) Energy Star Compliant: YES

(5) Manufacturer’s Standard Warranty

PART NUMBER: WED8540FW

-Required Delivery Schedule: Within 90 days after contract award (ADC).

FOB: Destination

0012 6 Each

WASHER

FFP

1) Price shall include Door-to-Door shipping, handling and all related costs to MCAS Iwakuni, Yamaguchi, Japan via Commercial Air Carrier (DHL or FedEx).

2) The quoted price for each item listed in this solicitation shall include all shipping costs to the final destination.

(1) WASHER (approximate) 4.5cu.ft Front Load Washer with Tumble Fresh

(2) EcoBoost.

(3) Energy Star Compliant: YES

(4) Manufacturer’s Standard Warranty

(5) American Disability Act (ADA) Compliant: YES

[Brand Name or Equal]

PART NUMBER: WFW8540FW

-Required Delivery Schedule: Within 90 days after contract award (ADC).

ADDENDUM TO FAR 52.212-1

ADDENDUM TO FAR 52.212-1

Addendum to FAR 52.212-1—INSTRUCTIONS TO OFFERORS- COMMERCIAL ITEMS (OCT 2015)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the Request for Quotes cover sheet (SF 1449). However, the small business size standard for a concern which submits a quote in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees. Actions indicated as set-aside actions in block 10 are limited to qualifying entities per FAR part 19. Non-U.S. business concerns of any size are not qualifying entities.

Note: No small business set aside for Solicitation Number M6740017T0067.

(b) SUBMISSION OF QUOTES. Submit signed and dated quotes to the office specified in this Request for Quotes (RFQ), or by email or fax using the specified contact information in section (n) below, at or before the exact time specified in block 8 of this RFQ. Quotes may be submitted electronically (emailed); however, due to government computer firewall security, please be advised that it is the Offerors responsibility to ensure that the Contracting Office receives all required documents. After submitting quote(s), it is the offeror’s responsibility to receive acknowledgment from the Government.

Quotes must be submitted as indicated:

(1) Completed SF1449/SF30, including:

(a) Block 5, The Request for Quote number;

(b) Block 8, The time specified in the Request for Quotes for receipt of quotes;

(c) Block 17a complete, including the name, address, and telephone number of the offeror;

(d) Block 17b if appropriate, "Remit to" address, if different than mailing address;

(e) SF30 block 15a,b,c; and Acknowledgment of Request for Quotes Amendments, if applicable

(f) Unit Price and extended Price for each Contract Line Item Number (CLIN) / sub-CLIN

(g) Block 26, Total Price Quote

(h) Block 12, Discount Terms [provide amplifying information if necessary]

(2) Two separate copies of information sufficient for technical evaluation (at least one copy shall have all company identifying information redacted). Quote must include:

(a) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the Request for Quotes.

• Descriptive Literature: Offerors shall complete and submit specification sheet as a part of offer (Attachment I – Required Item Specifications / Delivery Schedule). Offerors shall also submit product literature and other documents which describe the functions, technical capabilities, and salient characteristics of the proposed items. The information submitted shall be sufficient enough to demonstrate that the product being offered meets or exceeds the minimum required specifications in the solicitation.

• Delivery Schedule: The Offeror’s proposed delivery date presents the Offeror’s best effort in compliance with the Government’s required delivery schedule. The Offeror’s proposed delivery schedule must not exceed the Government’s required delivery date. Offers failing to meet this requirement shall be considered non-responsive. (Attachment I – Required Item Specifications / Delivery Schedule)

• Commercial Warranty Terms and Conditions

(b) Price and any discount terms;

(3) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically); Reps/certs completed electronically and registered as current via SAM per 52.212-3(b) need not be re-submitted. The following information must be provided with this quotation: Submitting the information affirms that the offeror is registered and current in the SAM database:

Commercial And Government Entity Code (CAGE) ____________________ (U.S. Vendor Only)

NATO Commercial And Government Entity Code (NCAGE) ____________________ (Foreign Vendor Only) Taxpayer Identification Number (TIN) ____________________

Data Universal Numbering System (DUNS) ____________________

(4) License/certification to do business in the country of Japan, if applicable

(5) Copies of necessary licenses, certifications, permits, resumes, if applicable

(6) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information)

- If the offeror has relevant and recent contract records listed on Past Performance Information

Retrieval System at https://www.ppirs.gov/):

o Shall submit a list of contract numbers.

- If the offeror does NOT have relevant and recent contract records listed on Past Performance Information Retrieval System.):

o Shall submit Past Performance Information List (See Attachment I.).

*Past performance information list shall be no more than five (5) of the offeror's most recently completed, or currently on-going, Federal Government or Commercial contracts, not to exceed 3 years since completion for like or similar services to those to be provided under this RFQ.

(c) Period for acceptance of quotes. The offeror agrees to hold the prices in its offer firm for 60 calendar days from the date specified for receipt of quotes.

(d) Product samples. When required by the Request for Quotes, product samples shall be submitted at or prior to the time specified for receipt of quotes. Unless otherwise specified in this Request for Quotes, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple quotes. Offerors are encouraged to submit multiple quotes presenting alternative terms and conditions or commercial items for satisfying the requirements of this Request for Quotes. Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of quotes:

(1) Offerors are responsible for submitting quotes, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the Request for Quotes by the time specified in the Request for Quotes. If no https://www.ppirs.gov/ time is specified in the Request for Quotes, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that quotes or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the Request for Quotes after the exact time specified for receipt of quotes is “late” and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and—

(A) If it was transmitted through an electronic commerce method authorized by the Request for Quotes, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of quotes; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of quotes and was under the Government's control prior to the time set for receipt of quotes; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that quotes cannot be received at the Government office designated for receipt of quotes by the exact time specified in the Request for Quotes, and urgent Government requirements preclude amendment of the Request for Quotes or other notice of an extension of the closing date, the time specified for receipt of quotes will be deemed to be extended to the same time of day specified in the Request for Quotes on the first work day on which normal Government processes resume.

(5) Quotes may be withdrawn by written notice received at any time before the exact time set for receipt of quotes.

Oral quotes in response to oral Request for Quotes may be withdrawn orally. If the Request for Quotes authorizes facsimile quotes, quotes may be withdrawn via facsimile received at any time before the exact time set for receipt of quotes, subject to the conditions specified in the Request for Quotes concerning facsimile quotes. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of quotes, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate quotes and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all quotes if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in quotes received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, quotes may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the Request for Quotes. (1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this Request for Quotes may be obtained for a fee by submitting a request to--GSA Federal Supply Service Specifications Section, Suite 8100, 470 East L'Enfant Plaza, SW, Washington, DC 20407, Telephone (202) 619-8925, Facsimile (202) 619-8978.

Note: Not Applicable for Solicitation Number M6740017T0067

(j) Data Universal Numbering System (DUNS) Number. (Applies to all quotes exceeding $3,500, and quotes of $3,500 or less if the Request for Quotes requires the Contractor to be registered in the System for Award Management (SAM) database. The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “DUNS” or “DUNS +4” followed by the DUNS or DUNS +4 number that identifies the offeror's name and address. The DUNS +4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the offeror to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts (see FAR Subpart 32.11) for the same concern. If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one. An offeror within the United States may contact Dun and Bradstreet by calling 1-866-705-5711 or via the internet at http://fedgov.dnb.com/webform. An offeror located outside the United States must contact the local Dun and Bradstreet office for a DUNS number. The offeror should indicate that it is an offeror for a Government contract when contacting the local Dun and Bradstreet office.

(k) System for Award Management. Unless exempted by an addendum to this Request for Quotes, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance and through final payment of any contract resulting from this Request for Quotes. If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror. Offerors may obtain information on registration and annual confirmation requirements via the SAM database accessed through https://www.acquisition.gov.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the Request for Quotes, applicable regulations, and other applicable authorities were followed by the agency.

(m) Note to offerors:

All and any communications / questions pertaining to this solicitation must be submitted in the format provided in Attachment II to the Point of Contact below, no later than 16 May 2017 @10:00AM Japanese Standard Time (JST).

If an Offeror believes that the requirements in these instructions contain an error, omission, or are otherwise unsound, the Offeror shall immediately notify the Contract Specialist in writing with supporting rationale. The Government may reject any or all quotes if such action is in the public interest; accept other than the lowest quote;

and waive informalities and minor irregularities in quotes received.

Point of Contact:

Regional Contracting Office (RCO) Attn: Mr. Koichi Yokogawa Marine Corps Installations Pacific – MCB Camp Butler, Okinawa, Japan https://www.acquisition.gov/

Phone: 011-81-98-970-3132 (from U.S.) / 098-970-3132 (Local) Fax: 011-81-970-0969 (from U.S.) / 098-970-0969 (Local) E-mail: koichi.yokogawa.ja@usmc.mil

PLEASE NOTE: Offerors that fail to furnish the required information, or reject the terms and conditions of the solicitation may be excluded from consideration. It is the offeror’s responsibility to ensure receipt of the quote, any modifications, or revisions before the closing date and time specified in the solicitation.

EVALUATION

Addendum to FAR 52.212-2 EVALUATION

(a) This is a commercial item requirement using Simplified Acquisition Procedures under FAR part 12 and 13, respectively. Evaluation will be conducted using simplified procedures in accordance with FAR 13.106.

(b) The Government will award to the responsible offeror whose quote, conforming to the solicitation and instructions to offerors, will be most advantageous to the Government. A best value determination will be made by the contracting officer using the following factors to evaluate quotes:

1) Quality/technical merit

2) Price

3) Past Performance

(c) FAR 9.103 requires contracting officers to make a determination of responsibility prior to awarding a contract to a prospective contractor. FAR 9.104 identifies standards for a responsibility determination, which includes determination of satisfactory past performance. This assessment will primarily be reviewed and assessed through Federal Awardee Performance and Integrity Information System (FAPIIS), but may include other authorized methods described elsewhere in the FAR. Past performance, for purposes of evaluation, will be assessed as ‘satisfactory’ or ‘unsatisfactory’ at the discretion of the contracting officer based on the totality of information available. A past performance determination of ‘unsatisfactory’ will exclude the offer from consideration for award.

(d) Solicitations for supplies valued less than $1 million will use the past performance evaluation procedures outlined in DFARS 213.106-2 and described in clause 252.213-7000, incorporated herein.

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A mailto:yokogawa.ja@usmc.mil

0001AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

M02209

0001AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0001AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0002 N/A N/A N/A N/A

0002AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0002AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0002AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0003 N/A N/A N/A N/A

0003AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0003AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0003AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0004 N/A N/A N/A N/A

0004AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0004AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0004AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

0005AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0005AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0005AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0006 N/A N/A N/A N/A

0006AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0006AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0006AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0007 N/A N/A N/A N/A

0007AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0007AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0007AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0008 N/A N/A N/A N/A

0008AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0008AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0008AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0009 N/A N/A N/A N/A

0009AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0009AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0009AC 90 dys. ADC 170 (SAME AS PREVIOUS LOCATION)

0010 N/A N/A N/A N/A

0010AA 90 dys. ADC 264 M02209

MARINE CORPS PROPERTY

MCP DIVISION MCAS IWAKUNI BLDG

IWAKUNI AP 96310

0010AB 90 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0010AC 90 dys. ADC 200 (SAME AS PREVIOUS LOCATION)

0011 90 dys. ADC 6 (SAME AS PREVIOUS LOCATION)

0012 90 dys. ADC 6 (SAME AS PREVIOUS LOCATION)

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA Destination Government Destination Government 0001AB Destination Government Destination Government 0001AC Destination Government Destination Government 0002 N/A N/A N/A N/A 0002AA Destination Government Destination Government 0002AB Destination Government Destination Government 0002AC Destination Government Destination Government 0003 N/A N/A N/A N/A 0003AA Destination Government Destination Government 0003AB Destination Government Destination Government 0003AC Destination Government Destination Government 0004 N/A N/A N/A N/A 0004AA Destination Government Destination Government 0004AB Destination Government Destination Government 0004AC Destination Government Destination Government 0005 N/A N/A N/A N/A 0005AA Destination Government Destination Government 0005AB Destination Government Destination Government 0005AC Destination Government Destination Government 0006 N/A N/A N/A N/A 0006AA Destination Government Destination Government 0006AB Destination Government Destination Government 0006AC Destination Government Destination Government 0007 N/A N/A N/A N/A 0007AA Destination Government Destination Government 0007AB Destination Government Destination Government 0007AC Destination Government Destination Government 0008 N/A N/A N/A N/A 0008AA Destination Government Destination Government 0008AB Destination Government Destination Government 0008AC Destination Government Destination Government 0009 N/A N/A N/A N/A 0009AA Destination Government Destination Government 0009AB Destination Government Destination Government 0009AC Destination Government Destination Government 0010 N/A N/A N/A N/A 0010AA Destination Government Destination Government 0010AB Destination Government Destination Government 0010AC Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984

52.203-16 Preventing Personal Conflicts of Interest DEC 2011 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-6 Unique Entity Identifier OCT 2016 52.204-7 System for Award Management OCT 2016 52.204-13 System for Award Management Maintenance OCT 2016 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-17 Ownership or Control of Offeror JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.209-2 Prohibition on Contracting with Inverted Domestic Corporations--Representation

NOV 2015

52.209-7 Information Regarding Responsibility Matters JUL 2013 52.211-6 Brand Name or Equal AUG 1999 52.212-1 Instructions to Offerors--Commercial Items OCT 2016 52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.214-21 Descriptive Literature APR 2002 52.225-5 Trade Agreements OCT 2016 52.232-1 Payments APR 1984 52.232-8 Discounts For Prompt Payment FEB 2002 52.232-11 Extras APR 1984 52.232-17 Interest MAY 2014 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-1 Disputes MAY 2014 52.233-3 Protest After Award AUG 1996 52.242-13 Bankruptcy JUL 1995 52.243-1 Changes--Fixed Price AUG 1987 52.246-2 Inspection Of Supplies--Fixed Price AUG 1996 52.246-16 Responsibility For Supplies APR 1984 52.247-34 F.O.B. Destination NOV 1991 52.249-2 Termination For Convenience Of The Government (Fixed-

Price)

APR 2012

52.249-8 Default (Fixed-Price Supply & Service) APR 1984 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7011 Alternative Line Item Structure SEP 2011 252.204-7015 Notice of Authorized Disclosure of Information for Litigation

Support

MAY 2016

252.205-7000 Provision Of Information To Cooperative Agreement Holders DEC 1991 252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of Terrorism

OCT 2015

252.225-7012 Preference For Certain Domestic Commodities DEC 2016 252.225-7021 Trade Agreements--Basic DEC 2016 252.225-7041 Correspondence in English JUN 1997 252.227-7015 Technical Data--Commercial Items FEB 2014 252.229-7000 Invoices Exclusive of Taxes or Duties JUN 1997

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2012 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.246-7006 Warranty Tracking of Serialized Items MAR 2016 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015)

(a)(1) The Offeror certifies, to the best of its knowledge and belief, that-

(i) The Offeror and/or any of its Principals-

(A) Are ( ) are not ( ) presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(B) Have ( ) have not ( ), within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks “have”, the offeror shall also see 52.209-7, if included in this solicitation); and

(C) Are ( ) are not ( ) presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision.;

and

(D) Have , have not , within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(1) Federal taxes are considered delinquent if both of the following criteria apply:

(i) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(ii) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(2) Examples. (i) The taxpayer has received a statutory notice of deficiency, under I.R.C. Sec. 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(ii) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. Sec. 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(iii) The taxpayer has entered into an installment agreement pursuant to I.R.C. Sec. 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(iv) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).

(ii) The Offeror has ( ) has not ( ), within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) Principal, for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager;

head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award.